Table 2.
Practical guidelines for scar management
| Treatment period | Keloid | |
|---|---|---|
| Start | Avoid sun exposure | |
| Beginning keloid: | ||
| Silicone gel sheeting + compression | ||
| Moisturizing | ||
| 4 Weeks–6 months | Growing keloid: | |
| In combination: | ||
| Silicone gel sheeting and | ||
| Intralesional injections of corticosteroids (5-fluorouracil, bleomycin, or verapamil can also be considered) | ||
| After 12 months | If there is no response: | |
| Consider surgical excision (with a skin graft or flap) combined with iridium, other localized radiotherapy, or intralesional cryotherapy | ||